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HIS SHELTERING ARMS INC. NPI 1821302886


NPI Information

NPI: 1821302886
Provider Name: HIS SHELTERING ARMS, INC.

Other Name: HIS SHELTERING ARMS, INC.

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
11101 S MAIN ST
LOS ANGELES, CA
ZIP 90061
Phone: (323) 755-6646
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HIS SHELTERING ARMS, INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Los Angeles, CA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. HIS SHELTERING ARMS, INC. NPI is 1821302886. The provider is registered as an organization entity type.
The provider Other Name Is His Sheltering Arms, Inc..

The provider's business location address is:

11101 S MAIN ST
LOS ANGELES, CA
ZIP 90061-925
Phone: (323) 755-6646
Fax: (323) 776-1106

The provider's authorized official is Rhoen D Moore .
The authorized official title is Executive Director and has the following contact phone number (323) 755-6646.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 4/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children190064CNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIADRUG MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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